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1760125728
BRANDON PAYNE
LITTLE ROCK, AR
NPI
1760125728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-18
Last Update Date
2022-04-21
Business Address
BRANDON PAYNE
4301 W MARKHAM ST # 512-19A
LITTLE ROCK, AR 72205-7101
Phone number: 501-364-1874
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Mailing Address
BRANDON PAYNE
2665 E DEERPATH DR
FAYETTEVILLE, AR 72701-4604
Phone number: 870-250-0924
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